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COMPLIANCE INFO_2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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ELEVENTH
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2200 - Hazardous Waste Program
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PR0522840
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COMPLIANCE INFO_2019
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Entry Properties
Last modified
11/19/2024 10:19:32 AM
Creation date
1/5/2022 1:47:30 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0522840
PE
2247
FACILITY_ID
FA0014350
FACILITY_NAME
CVS PHARMACY #3908
STREET_NUMBER
1885
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
St
City
TRACY
Zip
95376
APN
23217021
CURRENT_STATUS
01
SITE_LOCATION
1885 W ELEVENTH St
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\kblackwell
Tags
EHD - Public
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EPA ID Number I C I A I R 1 0 1 0 1 0 1 2 2 1 9 1 7 1 3 2 OMB#2050-0024; Expires 05/31/2020 <br /> 8. Site Contact Information ❑ Same as Location Address <br /> First Name Nicole MI Last Name Wilkinson <br /> Title Director Corporate Environmental <br /> Street Address 1 CVS Drive <br /> City,Town,or Village Woonsocket <br /> State RI Country US Zip Code 02895 <br /> Email Nicole.Wilkinson@CVSHealth.com <br /> Phone 4017707132 Ext Fax <br /> 9. Legal Owner and Operator of the Site <br /> A. Name of Site's Legal Owner ❑ Same as Location Address <br /> Full Name Date Became Owner(mm/dd/yyyy) <br /> CAR Corral Hollow, LLC 08/01/2001 <br /> Owner Type <br /> ✓ Private ❑County ❑District ❑Federal ❑Tribal ❑Municipal ❑State ❑Other <br /> Street Address 121 W Forsyth St, Ste 200 <br /> City,Town,or Village Jacksonville <br /> State FL Country US Zip Code 32202 <br /> Email Nicole.Wilkinson@CVSHealth.com <br /> Phone 8009506333 Ext Fax <br /> Comments <br /> B. Name of Site's Legal Operator ❑ Same as Location Address <br /> Full Name Date Became Operator(mm/dd/yyyy) <br /> LONGS DRUG STORES CALIFORNIA, L.L.0 10/22/2008 <br /> Operator Type <br /> ✓ Private ❑County 11 District 11 Federal ❑Tribal ❑Municipal 11 State ❑Other <br /> Street Address 1 CVS Drive <br /> City,Town,or Village Woonsocket <br /> State RI Country US Zip Code 02895 <br /> Email CorporateEnvironmentalTeam@CVSHealth.com <br /> Phone 4017651500 Ext Fax <br /> Comments <br /> EPA Form 8700-12,8700-13 A/B,8700-23 SI Page 2/6 <br />
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